TravelJoy

Temmessia Lee

Destinations with Tee Lee

Travel Request

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="The Basics"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of Birth" name="date-of-birth" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="The Adventure"/>&#13;
		<field type="text" label="Where would you like to go?" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you have a passport?" name="do-you-have-a-passport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget per traveler?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$0 to $500" value="0-to-500">$0 to $500</option>&#13;
			<option label="$501 to $1,000" value="501-to-1000">$501 to $1,000</option>&#13;
			<option label="$1,001 to $2,000" value="1001-to-2000">$1,001 to $2,000</option>&#13;
			<option label="$2,001 to $3,500" value="2001-to-3500">$2,001 to $3,500</option>&#13;
			<option label="$3,500 to $5,000" value="3500-to-5000">$3,500 to $5,000</option>&#13;
			<option label="$5,001+" value="5001">$5,001+</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What would you like to include in your booking?" name="what-would-you-like-to-include-in-your-booking">&#13;
			<option label="Activities/Excursions/Tours" value="activitiesexcursionstours">Activities/Excursions/Tours</option>&#13;
			<option label="Air" value="air">Air</option>&#13;
			<option label="Airport Transfers" value="airport-transfers">Airport Transfers</option>&#13;
			<option label="Car Rental" value="car-rental">Car Rental</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Hotel/Resort" value="hotelresort">Hotel/Resort</option>&#13;
			<option label="Travel Insurance" value="travel-insurance">Travel Insurance</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Cruise Information"/>&#13;
		<field type="radio-group" label="Cruise Line Preference" name="cruise-line-preference">&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Norwegian " value="norwegian-">Norwegian </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="If you're vacationing on a cruise, which cabin option are you interested in, and would you rather a higher floor or lower floor? **Depends on the cabin you select, you may not have the option to select which floor you want**" name="if-youre-vacationing-on-a-cruise-which-cabin-option-are-you-interested-in-and-would-you-rather-a-higher-floor-or-lower-floor-depends-on-the-cabin-you-select-you-may-not-have-the-option-to-select-which-floor-you-want">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Higher Floor" value="higher-floor">Higher Floor</option>&#13;
			<option label="Lower Floor" value="lower-floor">Lower Floor</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Bedding Preference" name="bedding-preference">&#13;
			<option label="King Bed" value="king-bed">King Bed</option>&#13;
			<option label="2 Twin Beds" value="2-twin-beds">2 Twin Beds</option>&#13;
			<option label="Multiple Occupancy" value="multiple-occupancy">Multiple Occupancy</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please list the CORRECT NAMES &amp;amp; DATE OF BIRTHS for everyone who will be lodging in the same cabin as you. It's important that the names are spelled exactly the same as their passport, birth certificate, or ID." name="if-any-travelers-are-children-please-list-their-age-at-the-time-of-travel" className="form-control"/>&#13;
		<field type="select" label="Preferred Dinner Time (Can always be changed)" name="preferred-dinner-time-can-always-be-changed" className="form-control">&#13;
			<option label="Early: Around  6pm" value="early-around-6pm">Early: Around  6pm</option>&#13;
			<option label="Late: Around 8pm" value="late-around-8pm">Late: Around 8pm</option>&#13;
			<option label="Fluctuating Times: Between 5pm-10pm" value="fluctuating-times-between-5pm10pm">Fluctuating Times: Between 5pm-10pm</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you traveling for a Special Occasion?" name="are-you-traveling-for-a-special-occasion">&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Destination Bachelor/Bachelorette Party" value="destination-bachelorbachelorette-party">Destination Bachelor/Bachelorette Party</option>&#13;
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>&#13;
			<option label="Family Reunion" value="family-reunion">Family Reunion</option>&#13;
			<option label="Family Vacation" value="family-vacation">Family Vacation</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Guest Qualifiers-This info may give you a better rate offer"/>&#13;
		<field type="text" label="VIFP # (Carnival) or Crown &amp;amp; Anchor Society # (Royal Caribbean)" name="vifp-carnival-or-crown-anchor-society-royal-caribbean" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Military? (Active, retired, or negotiated corporate/employee discounts...Will need to show proof)" name="military-active-retired-or-negotiated-corporateemployee-discountswill-need-to-show-proof" subtype="text" className="form-control"/>&#13;
		<field type="text" label="55 years or older?" name="55-years-or-older" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="IN NEED OF A FLIGHT?"/>&#13;
		<field type="text" label="Preferred Airline" name="preferred-airline" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Depart From" name="depart-from" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Arrive to" name="arrive-to" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Departure Date" name="departure-date" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Return Date" name="return-date" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many passengers?" name="how-many-passengers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="List passengers info if it's different than what you've already listed above" name="list-passengers-info-if-its-different-than-what-youve-already-listed-above" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>